What happens in the visit
This is a one-on-one, physician-led 60 MIN consultation with Dr. Hirmendi. The visit begins with a structured review of your current concerns, medical history, medications, and lifestyle. Time is allocated to listen and connect symptoms — low energy, sleep changes, weight shifts, or mood changes — to possible physiologic patterns before suggesting next steps.
Because the appointment is comprehensive, Dr. Hirmendi emphasizes context over isolated findings: how sleep, stress, inflammation, and daily routines interact with hormones and metabolism. The session length allows for a detailed conversation that goes beyond a quick check-in and supports thoughtful interpretation of labs and treatment options.
What we review together
During the consultation we may review existing labs and order additional testing as clinically appropriate, with attention to metabolic, inflammatory, nutritional, and hormone markers. You will receive an explanation of what those markers mean for your energy, recovery, and long-term wellness, helping you understand trade-offs between different diagnostic or therapeutic approaches.
Hormone health — including perimenopause, menopause, testosterone, thyroid, and adrenal-related concerns — is discussed in the context of symptoms, risks, and goals. When hormone therapy is appropriate, options and monitoring strategies are covered, along with non-hormonal lifestyle and nutritional approaches to support balance.
Personalized plan and next steps
At the end of the visit you’ll receive a personalized plan that may combine targeted labs, lifestyle and nutrition guidance, supplement recommendations, and referral or follow-up options. The plan is organized around measurable goals like improved energy, clearer sleep, or better metabolic function, with practical steps you can start immediately.
Local factors matter: for busy Willow Glen and San Jose clients who commute or manage family schedules, Dr. Hirmendi considers timing, seasonality, and environmental stresses — for example, summer heat or occasional wildfire smoke — when recommending interventions and scheduling follow-up care.
